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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids (Macronutrients) (2005)
Food and Nutrition Board (FNB)

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423
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Dietary Reference Intakes for Energy, Carbohydrate, Fiber, Fat, Fatty Acids, Cholesterol, Protein, and Amino Acids

certain micronutrients) and unknown and unquantifiable health risks. The AMDR for total fat is set at 20 to 35 percent of energy. It is possible to have a diet low in saturated fatty acids by following the dietary guidance provided in Chapter 11.


n-9 cis Monounsaturated fatty acids are synthesized by the body and have no known independent beneficial role in human health and are not required in the diet. Therefore, neither an AI nor an RDA is set. There is insufficient evidence to set a UL for n-9 cis monounsaturated fatty acids.


Linoleic acid is the only n-6 polyunsaturated fatty acid that is an essential fatty acid; it serves as a precursor to eicosanoids. A lack of dietary n-6 polyunsaturated fatty acids is characterized by rough and scaly skin, dermatitis, and an elevated eicosatrienoic acid:arachidonic acid (triene:tetraene) ratio. The AI for linoleic acid is based on the median intake in the United States where an n-6 fatty acid deficiency is nonexistent in healthy individuals. The AI is 17 g/d for young men and 12 g/d for young women. While intake levels much lower than the AI occur in the United States without the presence of a deficiency, the AI can provide the beneficial health effects associated with the consumption of linoleic acid (see Chapter 11). There is insufficient evidence to set a UL for n-6 polyunsaturated fatty acids.


n-3 Polyunsaturated fatty acids play an important role as structural membrane lipids, particularly in nerve tissue and the retina, and are precursors to eicosanoids. A lack of α-linolenic acid in the diet can result in clinical symptoms of a deficiency (e.g., scaly dermatitis). An AI is set for α-linolenic acid based on median intakes in the United States where an n-3 fatty acid deficiency is nonexistent in healthy individuals. The AI is 1.6 and 1.1 g/d for men and women, respectively. While intake levels much lower than the AI occur in the United States without the presence of a deficiency, the AI can provide the beneficial health effects associated with the consumption of n-3 fatty acids (see Chapter 11). There is insufficient evidence to set a UL for n-3 fatty acids.


Trans fatty acids are not essential and provide no known benefit to human health. Therefore, no AI or RDA is set. As with saturated fatty acids, there is a positive linear trend between trans fatty acid intake and LDL cholesterol concentration, and therefore increased risk of CHD. A UL is not set for trans fatty acids because any incremental increase in trans fatty acid intake increases CHD risk. Because trans fatty acids are unavoidable in ordinary, nonvegan diets, consuming 0 percent of energy would require significant changes in patterns of dietary intake. As with saturated fatty acids, such adjustments may introduce undesirable effects (e.g., elimina-

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423
Front Matter (R1-R26)
Summary (1-20)
1. Introduction to Dietary Reference Intakes (21-37)
2. Methods and Approaches Used (38-52)
3. Relationship of Macronutrients and Physical Activity to Chronic Disease (53-83)
4. A Model for the Development of Tolerable Upper Intake Levels (84-106)
5. Energy (107-264)
6. Dietary Carbohydrates: Sugars and Starches (265-338)
7. Dietary, Functional, and Total Fiber (339-421)
8. Dietary Fats: Total Fat and Fatty Acids (422-541)
9. Cholesterol (542-588)
10. Protein and Amino Acids (589-768)
11. Macronutrients and Healthful Diets (769-879)
12. Physical Activity (880-935)
13. Applications of Dietary Reference Intakes for Macronutrients (936-967)
14. A Research Agenda (968-971)
Appendix A: Glossary and Acronyms (972-977)
Appendix B: Origin and Framework of the Development of Dietary Reference Intakes (978-984)
Appendix C: Acknowledgments (985-987)
Appendix D: Dietary Intake Data from the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994 (988-1027)
Appendix E: Dietary Intake Data from the Continuing Survey of Food Intakes by Individuals (CSFII) 1994-1996, 1998 (1028-1065)
Appendix F: Canadian Dietary Intake Data, 1990-1997 (1066-1075)
Appendix G: Special Analyses for Dietary Fats (1076-1077)
Appendix H: Body Composition Data Based on the Third National Health and Nutrition Examination Survey (NHANES III), 1988-1994 (1078-1103)
Appendix I: Doubly Labeled Water Data Used to Predict Energy Expenditure (1104-1202)
Appendix J: Association of Added Sugar Intake and Intake of Other Nutrients (1203-1225)
Appendix K: Data Comparing Carbohydrate Intake to Intake of Other Nutrients from the Continuing Survey of Food Intakes by Individuals (CSFII), 1994-1996, 1998 (1226-1243)
Appendix L: Options for Dealing with Uncertainties (1244-1249)
Appendix M: Nitrogen Balance Studies Used to Estimate the Protein Requirements in Adults (1250-1258)
Biographical Sketches of Panel and Subcommittee Members (1259-1274)
Index (1275-1318)
Summary Tables, Dietary Reference Intakes (1319-1331)